NPIMap

Organization Active NPI

South Pacific

  • Skilled Nursing Facility
  • Rncino, CA
National Provider Identifier
1013360676
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
AT1195 Issued in CA
Legal business name
SOUTH PACIFIC
Practice address
16260 Ventura Blvd
Rncino, CA 91364
Phone
(818) 986-1977
NPI assigned
Jul 19, 2016
Last updated
Jul 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Karen Shapiro Cobain, PTA
Title
Pta
Phone
(818) 577-9410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X AT1195 CA Primary

Addresses

Primary practice location

16260 Ventura Blvd
Rncino, CA 91364

Mailing address

16260 Ventura Blvd
Encino, CA 91436-2203
Phone (818) 986-1977

Other names 1

  • South Pacific Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
South Pacific Rehabilit6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1013360676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362203",
            "telephone_number": "818-986-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16260 VENTURA BLVD",
            "city": "RNCINO",
            "state": "CA",
            "postal_code": "91364",
            "telephone_number": "818-986-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PACIFIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "COBAIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SHAPIRO",
        "authorized_official_title_or_position": "PTA",
        "authorized_official_telephone_number": "818-577-9410",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "AT1195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Pacific",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.